Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Apr 2011
Influence of routine computed tomography on predicted survival from blunt thoracoabdominal trauma.
Many scoring systems have been proposed to predict the survival of trauma patients. This study was performed to evaluate the influence of routine thoracoabdominal computed tomography (CT) on the predicted survival according to the trauma injury severity score (TRISS). ⋯ Routine thoracoabdominal CT in high-energy blunt trauma patients reveals more injuries than a selective CT algorithm, resulting in a higher ISS. According to the TRISS, this results in higher predicted mortalities. Observed mortality, however, was significantly lower than predicted. The predicted survival according to MTOS seems to underestimate the actual survival when routine CT is used.
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Eur J Trauma Emerg S · Apr 2011
Small bowel obstruction: early parameters predicting the need for surgical intervention.
To study and identify early clinical and radiological findings that could help to predict operative intervention for small bowel obstruction. ⋯ The presence of two or more early predictive factors as defined above, available at admission, significantly correlates with a likelihood of complete obstruction and the need of surgical intervention.
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Eur J Trauma Emerg S · Apr 2011
Muscle regeneration is undisturbed by repeated polytraumatic injury.
Clinical observations suggest that repeated injury within a week after a traumatic event impairs the regeneration of tissues. Our aim was to investigate the effect of repeated trauma on the proliferation of satellite cells in skeletal muscle tissue. ⋯ The second hit phenomenon is probably due to systemic factors rather than to a diminished regenerating potential of injured soft tissues.
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Eur J Trauma Emerg S · Apr 2011
Fournier's gangrene: analysis of prognostic variables in 34 patients.
Fournier's gangrene (FG) is the necrotizing fasciitis of the perineum and genital area. The objective of this study was to assess risk factors for mortality. ⋯ FG is a life-threatening necrotizing fasciitis with a high mortality rate. In our study, prognostic variables were heart disease, admission serum urea, potassium, alkaline phosphatase, and FGSIS. More studies are needed to validate these findings.